Perceptions of cervical cancer prevention among a group of ethnic minority women in Denmark—A qualitative study
| Autor: | Lone Kjeld Petersen, Sara Badre-Esfahani, Lene Seibæk, Berit Andersen, Camilla Rahr Tatari, Jan Blaakær |
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| Rok vydání: | 2021 |
| Předmět: |
European People
Viral Diseases Health Knowledge Attitudes Practice Health Care Providers Denmark Psychological intervention Ethnic group Uterine Cervical Neoplasms Human sexuality Cervical Cancer Geographical locations Medical Conditions 0302 clinical medicine Medicine and Health Sciences Ethnicity Ethnicities Public and Occupational Health Medical Personnel 030212 general & internal medicine Minority Groups Early Detection of Cancer Cervical cancer HPVV Multidisciplinary Attendance HUMAN-PAPILLOMAVIRUS VACCINATION Middle Aged Vaccination and Immunization Cervical Cancer prevention Europe Professions Infectious Diseases Oncology Medicine Female 0305 other medical science Cancer Prevention Research Article Adult Human Papillomavirus Infection medicine.medical_specialty Ethnicity/psychology Science Urology Immunology Sexually Transmitted Diseases MEDLINE Young Adult 03 medical and health sciences Uterine Cervical Neoplasms/prevention & control Physicians medicine Humans European Union ATTITUDES ethnic minority women Danish People 030505 public health BARRIERS Genitourinary Infections business.industry fungi Cancers and Neoplasms Biology and Life Sciences medicine.disease Focus group Health Care Family medicine People and Places HEALTH-CARE Population Groupings Perception Preventive Medicine HPV-VACCINATION business Gynecological Tumors Qualitative research |
| Zdroj: | Koed Badre-Esfahani, S, Kjeld Petersen, L, Tatari, C R, Blaakær, J, Andersen, B & Seibæk, L 2021, ' Perceptions of cervical cancer prevention among a group of ethnic minority women in Denmark-A qualitative study ', PLOS ONE, vol. 16, no. 6, 0250816 . https://doi.org/10.1371/journal.pone.0250816 PLoS ONE Badre-Esfahani, S, Petersen, L K, Tatari, C R, Blaakær, J, Andersen, B & Seibæk, L 2021, ' Perceptions of cervical cancer prevention among a group of ethnic minority women in Denmark-A qualitative study ', PLOS ONE, vol. 16, no. 6, e0250816 . https://doi.org/10.1371/journal.pone.0250816 PLoS ONE, Vol 16, Iss 6, p e0250816 (2021) |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0250816 |
| Popis: | BackgroundCervical cancer screening (CCS) and human papillomavirus vaccination (HPVV) are effective measures against cervical cancer (CC). Attendance in HPVV and CCS provides the greatest protection, while combined non-attendance in HPVV and CCS provides little to no protection. It is hence concerning that some large ethnic minority groups show considerably lower HPVV and CCS attendance than other women–especially women from Middle-Eastern and North African (MENA) countries and Pakistan. Little is, however, known about the reasons for this low combined attendance pattern.AimTo explore perceptions of and barriers to HPVV and CCS, among MENA and Pakistani women in Denmark.MethodFocus group interviews were conducted. Data was transcribed verbatim, and analysed using systematic text condensation.FindingsSeventeen long-term resident women originating from six major MENA countries and Pakistan were included. Mean age was 36 years. We found that these women, across different age groups and descent, had sparse knowledge and understanding about CC, and their perceivedrelevance of disease prevention was low. Compared to HPVV, their barriers to CCS were more fixed and often linked to socio-cultural factors such as taboos related to female genitals and sexuality. Moreover, they presented unmet expectations and signs of mistrust in the healthcare system. However, at the end of the interviews, participants became more attentive toward CC prevention, particularly toward HPVV.ConclusionElements of insufficient knowledge and understanding of CC and its prevention were found among a group of MENA and Pakistani women. Their socio-cultural background further represents a barrier particularly towards CCS. Additionally, negative experiences and unmet expectations lessen their trust in the healthcare system. All of which underlines the need for new tailored CC preventive strategies for this group. Based on our findings we suggest thatfuture studies develop and evaluate interventions aiming to improve HPVV and CCS, including user-involvement. Background Cervical cancer screening (CCS) and human papillomavirus vaccination (HPVV) are effective measures against cervical cancer (CC). Attendance in HPVV and CCS provides the greatest protection, while combined non-attendance in HPVV and CCS provides little to no protection. It is hence concerning that some large ethnic minority groups show considerably lower HPVV and CCS attendance than other women-especially women from Middle-Eastern and North African (MENA) countries and Pakistan. Little is, however, known about the reasons for this low combined attendance pattern n. Aim To explore perceptions of and barriers to HPVV and CCS, among MENA and Pakistani women in Denmark. Method Focus group interviews were conducted. Data was transcribed verbatim, and analysed using systematic text condensation. Findings Seventeen long-term resident women originating from six major MENA countries and Pakistan were included. Mean age was 36 years. We found that these women, across different age groups and descent, had sparse knowledge and understanding about CC, and their perceived relevance of disease prevention was low. Compared to HPVV, their barriers to CCS were more fixed and often linked to socio-cultural factors such as taboos related to female genitals and sexuality. Moreover, they presented unmet expectations and signs of mistrust in the healthcare system. However, at the end of the interviews, participants became more attentive toward CC prevention, particularly toward HPVV. Conclusion Elements of insufficient knowledge and understanding of CC and its prevention were found among a group of MENA and Pakistani women. Their socio-cultural background further represents a barrier particularly towards CCS. Additionally, negative experiences and unmet expectations lessen their trust in the healthcare system. All of which underlines the need for new tailored CC preventive strategies for this group. Based on our findings we suggest that future studies develop and evaluate interventions aiming to improve HPVV and CCS, including user-involvement. |
| Databáze: | OpenAIRE |
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